Search results for "obstetric"

showing 10 items of 2144 documents

Artificial Neural Network for Predicting Iodine Deficiency in the First Trimester of Pregnancy in Healthy Women

2020

Iodine deficiency in Spain is a persisting public health problem and the prescription of potassium iodide is recommended during pregnancy. The purpose of this study was to develop an Artificial Neural Network (ANN) to predict the risk factors of iodine deficiency during pregnancy, and compare the results obtained with a logistic regression model. Two hundred forty-four healthy pregnant women were included in a descriptive and prospective study in their first trimester of pregnancy. The women enrolled were asked specifically about their use of supplements containing potassium iodide, iron, folic acid and/or multivitamins during pregnancy. The consumption of iodine-rich foods was assessed thr…

Adultmedicine.medical_specialtyAdolescentIronNutritional Statuschemistry.chemical_elementLogistic regressionIodineGeneral Biochemistry Genetics and Molecular BiologyBody Mass IndexYoung Adult03 medical and health sciencesFolic Acid0302 clinical medicinePregnancySurveys and QuestionnairesmedicineHumansProspective Studies030212 general & internal medicineProspective cohort studyPregnancyObstetricsbusiness.industryFeeding BehaviorGeneral Medicinemedicine.diseaseIodine deficiencyPregnancy Trimester FirstIodised saltCross-Sectional StudiesROC CurvechemistryFoodSpain030220 oncology & carcinogenesisRegression AnalysisGestationFemaleNeural Networks ComputerbusinessBody mass indexIodineMaternal AgeThe Tohoku Journal of Experimental Medicine
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Exposure to ambient air pollution during pregnancy and preterm birth: A Spanish multicenter birth cohort study

2016

Background and objective: Preterm birth is a major determinant of infant mortality and morbidity. Air pollution has been suggested as a risk factor for preterm delivery; however, the scientific evidence on this impact remains inconsistent. We assessed the association between residential exposure to air pollution during pregnancy and preterm birth (gestational age at delivery <37 weeks) in Spain. Methods: This study was based on 2409 pregnant women participating in the INMA birth cohorts in Asturias, Gipuzkoa, Sabadell and Valencia. Ambient levels of nitrogen dioxide (NO2) and benzene were estimated for each woman's residence for each trimester and for the whole pregnancy, using temporally a…

Adultmedicine.medical_specialtyAdolescentNitrogen DioxideAir pollution010501 environmental sciencesLogistic regression01 natural sciencesBiochemistryCohort StudiesYoung Adult03 medical and health sciences0302 clinical medicineResidence CharacteristicsRisk FactorsPregnancyHumansMedicine030212 general & internal medicineRisk factor0105 earth and related environmental sciencesGeneral Environmental ScienceExposure assessmentAir PollutantsPregnancybusiness.industryObstetricsConfoundingCohortGestational ageBenzenePreterm birthmedicine.diseaseInfant mortalityLogistic ModelsSocioeconomic FactorsMaternal ExposureSpainCohortPremature BirthFemalebusinessEnvironmental Monitoring
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Association of Cesarean Delivery With Risk of Neurodevelopmental and Psychiatric Disorders in the Offspring: A Systematic Review and Meta-analysis.

2019

This systematic review and meta-analysis examines the association between birth by cesarean delivery and risk of neurodevelopmental and psychiatric disorders in the offspring compared with birth by vaginal delivery.

Adultmedicine.medical_specialtyAdolescentOffspringAutism Spectrum DisorderSensitivity and SpecificityYoung AdultPregnancyRisk FactorsmedicineElective Cesarean DeliveryAttention deficit hyperactivity disorderHumansPsychiatryChildreproductive and urinary physiologyOriginal InvestigationPsychiatrybusiness.industryVaginal deliveryCesarean SectionMental DisordersResearchGeneral MedicineOdds ratiomedicine.diseaseDelivery ObstetricEating disordersObservational Studies as TopicOnline OnlyAutism spectrum disorderAttention Deficit Disorder with HyperactivityNeurodevelopmental DisordersCase-Control StudiesChild PreschoolFemalebusinessCohort studyJAMA network open
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Physical activity and breast cancer risk by pathological subtype

2017

Abstract Objective To examine the influence of physical activity on breast cancer risk and evaluate whether adherence to international recommendations is associated with a decreased risk. Methods This is a multicenter matched case-control study where 698 pairs completed a physical activity questionnaire. Recreational physical activity during the last year was quantified in metabolic equivalent hours per week (MET-h/week) and categorized in activities of moderate (3.0–5.9 MET) and vigorous (>6 MET) intensity. The adherence to World Cancer Research Fund and the American Institute for Cancer Research recommendation was also assessed. The association with breast cancer risk, overall and by path…

Adultmedicine.medical_specialtyAdolescentPhysical activityBreast NeoplasmsOverweightMetabolic equivalentYoung Adult03 medical and health sciences0302 clinical medicineBreast cancerInternal medicinemedicineHumans030212 general & internal medicineExercisePathologicalAgedMultinomial logistic regressionGynecologybusiness.industryObstetrics and GynecologyMiddle Agedmedicine.diseaseObesityOncologySpainHormone receptorCase-Control Studies030220 oncology & carcinogenesisFemaleGuideline Adherencemedicine.symptombusinessGynecologic Oncology
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Reactivity of isolated human chorionic vessels: analysis of some influencing variables

2003

The aim of the study was to determine whether 24 h of cold storage of samples, mode of delivery, and gestational age influenced in vitro human chorionic vascular reactivity (35 arteries and 34 veins). The following groups were compared: (i) fresh versus 24-h cold-stored (4 °C in Krebs–Henseleit solution) chorionic vascular rings from normal term placentas, (ii) fresh chorionic vascular rings from normal term placentas obtained after vaginal delivery versus those obtained after elective caesarean section, and (iii) fresh chorionic vascular rings from normal term placentas versus those obtained from preterm deliveries. Isometric recording of the concentration–response curve to KCl (5–120 mM)…

Adultmedicine.medical_specialtyAdolescentPhysiologyPlacentaPregnancy Trimester ThirdChorionic vesselsCold storageIn Vitro TechniquesBiologyPotassium ChlorideVeinsPregnancyRefrigerationPhysiology (medical)PlacentaInternal medicineReaction TimemedicineHumansreproductive and urinary physiologyPharmacologyCesarean SectionGestational ageArteriesChorionGeneral MedicineDelivery Obstetricmedicine.anatomical_structureEndocrinologyVaginaembryonic structuresCirculatory systemChorionic villiFemalemedicine.symptomVasoconstrictionBlood vesselCanadian Journal of Physiology and Pharmacology
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The relapse rate of multiple sclerosis changes during pregnancy: a cohort study

2004

Objective – To evaluate the influence of pregnancy and puerperium on the relapse rate of multiple sclerosis (MS). Methods – We determined retrospectively the yearly mean relapse rate (MRR) during pregnancies occurring in the course of relapsing–remitting MS. We compared the MRR of pregnancy-time with that of non-pregnancy time by paired t-test. Relative risk (RR) of relapses during the pregnancy-time was also compared with that of non-pregnancy time by χ2 analysis and 95% confidence intervals. Results – From a population of 351 women affected by clinically definite MS, only 70 reported pregnancies during their relapsing–remitting phase of MS for a total of 98 pregnancies. Both MRR (P = 0.00…

Adultmedicine.medical_specialtyAdolescentPopulationComorbidityCohort StudiesMultiple Sclerosis Relapsing-RemittingPregnancyRecurrenceRisk FactorsHumansMedicinepuerperiumeducationRetrospective Studieseducation.field_of_studyPregnancybiologybusiness.industryObstetricsMultiple sclerosisGeneral MedicineMiddle Agedmedicine.diseasebiology.organism_classificationConfidence intervalSurgeryPregnancy ComplicationsItalyNeurologymultiple sclerosiRelative riskTasaPregnancy in AdolescenceGestationFemaleNeurology (clinical)relapse ratebusinessCohort studyActa Neurologica Scandinavica
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The oligomenorrhoic phenotypes of polycystic ovary syndrome are characterized by a high visceral adiposity index: a likely condition of cardiometabol…

2011

BACKGROUND: Women with polycystic ovary syndrome (PCOS) frequently exhibit central obesity, glucose intolerance, atherogenic dys- lipidemia and hypertension, which are characteristic features of a condition of cardiometabolic risk. Our objective was to investigate the relationship between visceral adiposity index (VAI) and phenotypic characteristics in women with PCOS. METHODS: We conducted a cross-sectional case-control study in our Endocrinology Outpatients Clinic. A total of 220 women with PCOS (Rotterdam definition) and I44 age- and BMI-matched healthy women were studied. We evaluated hyperandrogenemia and clinical hyperandrogenism, ovarian morphology, hypothalamic-hypophyseal axis and …

Adultmedicine.medical_specialtyAdolescentPopulationIntra-Abdominal FatSettore MED/13 - EndocrinologiaInsulin resistanceRisk FactorsInternal medicinemedicinePCOSHumanseducationAdiposityRetrospective StudiesMetabolic Syndromeeducation.field_of_studyGlucose tolerance testmedicine.diagnostic_testbusiness.industryRehabilitationHyperandrogenismCase-control studyObstetrics and GynecologyOdds ratioGlucose Tolerance Testmedicine.diseasePolycystic ovaryOligomenorrheaPhenotypeEndocrinologyReproductive MedicineCardiovascular DiseasesCase-Control StudiesFemaleInsulin ResistanceMetabolic syndromebusinessPolycystic Ovary Syndrome
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Women's satisfaction with maternity care during preterm birth

2019

Background Women's satisfaction with maternity care is strongly influenced by their sociodemographic characteristics, values, and attitudes. The arrival of a preterm baby is often a traumatic time, with unique factors involved. The Spanish Preterm Birth Experience and Satisfaction Scale (P-BESS) is a robust instrument capable of assessing women's satisfaction during preterm birth. The purpose of this study was to assess women's satisfaction with maternity care during labor and birth with preterm babies in a Spanish-speaking population. Methods This is a cross-sectional study. Participants were 182 women who gave birth within 37 weeks' gestation. Factors associated with satisfaction were stu…

Adultmedicine.medical_specialtyAdolescentPopulationSampling StudiesYoung Adult03 medical and health sciencesMaternity care0302 clinical medicinePatient satisfactionIntervention measuresPregnancymedicineHumansChildbirth030212 general & internal medicineeducationeducation.field_of_study030219 obstetrics & reproductive medicinebusiness.industryObstetrics and GynecologyMiddle AgedDelivery Obstetricmedicine.diseaseParityCross-Sectional StudiesPatient SatisfactionSpainPremature birthScale (social sciences)Family medicineEducational StatusPremature BirthGestationFemalebusinessBirth
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Prenatal exposure to mercury and longitudinally assessed fetal growth: Relation and effect modifiers.

2016

Background: Prenatal mercury exposure has been related to reductions in anthropometry at birth. Levels of mercury have been reported as being relatively elevated in the Spanish population. Objective: To investigate the relation between prenatal exposure to mercury and fetal growth. Methods: Study subjects were pregnant women and their newborns (n:1867) participating in a population-based birth cohort study set up in four Spanish regions from the INMA Project. Biparietal diameter (BPD), femur length (FL), abdominal circumference (AC), and estimated fetal weight (EFW) were measured by ultrasounds at 12, 20, and 34 weeks of gestation. Size at and growth between these points were assessed by st…

Adultmedicine.medical_specialtyAdolescentPopulationchemistry.chemical_elementFetal growth010501 environmental sciencesPolychlorinated biphenyl 15301 natural sciencesBiochemistryFetal Development03 medical and health sciencesYoung Adult0302 clinical medicinePregnancySeafood consumptionMedicineHumans030212 general & internal medicineLongitudinal Studieseducation0105 earth and related environmental sciencesGeneral Environmental SciencePregnancyeducation.field_of_studybusiness.industryObstetricsMercuryAnthropometrymedicine.diseaseConfidence intervalMercury (element)chemistryMaternal ExposureCord bloodGestationFemaleGeometric meanbusinessEnvironmental research
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Temporal Trend in the Frequency of Ectopic Pregnancies in Lombardy, Italy

2012

&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; In recent years, epidemiological data showed that the incidence of ectopic pregnancies (EP) is decreasing, but few data are available on the time trend in Southern European populations. &lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; Using data from the Lombardy Region Database, we calculated and standardized the EP rates/10,000 resident women and the ratios/1,000 pregnancies. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; Data regarding 1,777,011 pregnancies and 17,028 cases of EP were recorded among women resident in Lombardy between 1996 and 2010, aged 15-50 years old. The age-adjusted EP rates increased from 4.4 in 1996 to 5.8 in 2010. Th…

Adultmedicine.medical_specialtyAdolescentPregnancy RateReproductive Techniques AssistedEctopic pregnancyEpidemiologySexually Transmitted DiseasesYoung AdultPregnancyEpidemiologyPrevalencemedicineHumansAge FactorSexually Transmitted DiseaseMedical treatmentbusiness.industryObstetricsIncidenceIncidence (epidemiology)Public healthAge FactorsObstetrics and GynecologyMiddle AgedSettore MED/40 - Ginecologia E OstetriciaPregnancy EctopicItalyReproductive MedicineFemalebusinessLaparoscopic treatmentHumanGynecologic and Obstetric Investigation
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